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PROFILE OF LEARNING OPPORTUNITIES

ORTHOPAEDIC TRAUMA

Rehabilitation
Department
Completion Date –
November 2005
Review Date –
November 2007

Contents Page Number 2 Learning Zone 3 Area profile 4&5 Physiotherapy Team 6 Daily Routine & Contacting Clinical Educator 7 Consultants on Trauma Wards 8 Common Conditions 9 Learning Focus Areas 10 Learning Opportunities & Learning Resources 11 Recommended Texts 12 Appendix 1-Common Diagnostic Tests -Doctors Hierarchy -Orthopaedic Discharge Team 13 & 14 Appendix 2-Physiotherapy Abbreviations 1 .

Nursing Staff Fracture clinic Occupational Therapists (OT’s) Nurse Specialists Trust Intranet Learning Zones in Orthopaedic Trauma Operating Theatre Protocol File Orthpaedic Discharge Team Outpatient Physiotherapy 2 .

Area profile Newcastle General Hospital-Trauma Orthopaedics The Orthopaedic trauma unit at Newcastle General Hospital consists of four wards -Ward 21 is a 30 bedded trauma ward. receiving patients from A&E and fracture clinic. These patients may or may not require physiotherapy input. W35 is also the spinal unit including conservative and surgical management of spinal fractures. This is also the A&E receiving ward so patients such as minor head injuries are admitted on W21 for overnight neurological observations or patients with fractured ribs etc. receiving patients from A&E and fracture clinic. -Ward 35 is also 30 bedded trauma orthopaedic ward. -Ward 20 is a 19 bedded orthopaedic rehabilitation ward -Ward 17 is 16 bedded elective orthopaedic ward 3 .

Haemophilia and Rheumatology works across all three sites. 4 . based at Freeman Hospital and the trauma team based at Newcastle General Hospital. This alternates weekly between the Freeman and NGH sites. The trauma team at Newcastle General consists of: senior 1 two static senior 2’s rotational junior two part-time assistants technical instructor The in-patient physiotherapy team have combined in-service training weekly from 3-4pm on a Wednesday afternoon.Physiotherapy Team The In-patient orthopaedic team consist of the elective team. The team leader for Orthopaedics.

30-13.00 and report to the physiotherapy outpatient department unless otherwise agreed with clinical educator.30 but varies depending on number of patients which have been admitted under the care of that on call team. W20 and W17 are shared between the team depending on workload.00-16. The physiotherapist must attend this round and you will get 5 .00 Lunch 12. On you’re first day as a student on trauma orthopaedics you will be expected to arrive for 8. The physiotherapy team cover specific designated wards and tend to go to either W21 or W35 in the morning. This is an opportunity to discuss treatment plans for the day.20 You will be expected to ring your clinical educator prior to your start date to confirm the placement. discussing any new patients or overnight changes with current patients. Clinical Educator Contact Details Senior 1 on trauma orthopaedics – Telephone Switchboard 0191 233 6161 then ask for Bleep 1899. On arrival on either W35 or W21. Any new patients are identified and databases completed.Daily Routine Working Hours: 08. There is a trauma ward round every morning at approximately 8. the physiotherapist receives a daily handover of the patients from nursing staff.

0015.Ward 21.30-13.00 all wards as required Ward 20 has a Multi-disciplinary team meeting on Tuesday afternoon 14.00-12. The patients are discussed.00. reviewed and plans for theatre made.45 ward 35 or 21 depending on clinical educator -10.45-11.00-12.the opportunity to attend. Approximate time scale of daily routine: -8. Ward sisters.00-10.00 team go to W20 &W17 -12.30 continue on W21 &W35 -12.20-16.20 lunch -13.Karen Anderson Ward 35-Kath Lawler 6 .00 team meet to discuss W20 &W17 -11.

Consultants on Trauma Wards Mr Brewster (NTB)-Revision surgery specialist Mr Siddique (MSS)-Foot and ankle specialist Mr Deehan (DJD)-Knee specialist Mr Holland (JPH)-Hip specialist Mr Williams (JRW)-Upper limb specialist Mr Stuart (PRS)-Upper limb specialist (hand) Mr Sanderson (PLS)-Spinal surgeon Mr Gibson (MG)-Spinal surgeon Mr Fender (DF)-Spinal surgeon Mr Weir (DJW)-Knee and revision surgery specialist Mr Briggs (PB)-Foot and ankle specialist Mr Gerrand (CG)-Orthopaedic oncologist and lower limb surgeon Miss Murray (SM)-Orthopaedic oncologist Mr Warlock (PDW)-Trauma Mr Henman (PDH)-Trauma & Paediatrics 7 .

-Management of joint dislocations -Management of multi-trauma patients 8 .Common Conditions on Trauma Orthopaedics Fractures and fracture management. Common #’s: -neck of femur # -wrist # -humeral # -clavicle # -ankle # -tibia/fibula # -femoral # -spinal # -pelvic # -Management of associated soft tissue/nerve injury. conservative or surgical.

measuring. 1) Knowledge of fracture patterns 2) Fracture healing 3) Complications of fractures 4) Walking Aids: clinical reasoning use. depending on the level of clinical placement. instruction on use and reassessment 5) Gait analysis 6) Use of cryotherapy: indications.Learning Focus Areas Background knowledge of the focus areas of learning is desirable prior to starting the clinical placements. contraindications 7) Use of goniometer 8) Moving and Handling including risk assessment 9 . These areas will be developed further during the clinical placement.

Occupational therapist. The Tomlinson library on site at NGH can be used to access publications. home visit if appropriate -Orthopaedic discharge team -Attend theatre -Attend fracture clinic -MDT meetings Learning Resources In Ward 21 office.Learning Opportunities These can involve observing other members of the MDT: -Nurse specialist in trauma orthopaedics or rehabilitation -Attend trauma meeting with full trauma team prior to ward round .g medline. Evidence based information can be found on the medical data bases e. 10 . these can be accessed through the trust intranet while on placement however an Athens password will be required. there is a protocol file that can be used as a valuable resource. Files of past in-service training and junior projects The internet offers a wide variety of information on trauma orthopaedics.

11 .J.Recommended Texts Outline of Orthopaedics.D. J. (2001). 4 th Edition. Churchill Livingstone.McRae. Churchill Livingstone. Churchill Livingstone. Crawford Adams. Pocketbook of Orthopaedics and Fractures. 13th Edition.R.Edwards. (1999).D.Hamblen. Essential Orthopaedics and Trauma.J. (2003).Dandy.L. D.

assess and assist in the discharge planning. A member of the ODT attends all wards daily to assess and plan the discharge of appropriate patients. The orthopaedic discharge team are a team who assist early discharge of patients from the orthopaedic wards to their homes in the Newcastle area. As physiotherapists.Appendix 1 Common Diagnostic Tests Include: X-ray CT Scan MRI Scan Dopplers and ultrasound scan. and social care services as required. Registrars frequently carry out surgery often unsupervised by the consultant. occupational therapists. Orthopaedic Discharge Team (ODT). The team provides supported discharge with input from nurses. physiotherapists. further training and exams SHOs progress to Registrars. Doctors There is a structured career progression in the medical profession. After choosing to specialise in an area. This service only covers patients who live within the Newcastle city boundaries. House officers (HO) are newly qualified medics who are supervised by and progress on to senior house officers (SHOs). 12 . we work closely with the ODT to identify appropriate patients.

P Dr Com. Ax General Practitioner Doctor Community physiotherapist Physiotherapist Patient Nursing Staff Occupational therapist Sister Charge Nurse Speech and Language Therapist Home Help Medical Personnel Community Psychiatric Nurse Multidisciplinary Team Home Assessment Visit Social Services Social Worker Physiotherapy Assistant Technical Instructor Care of the Elderly Intensive Therapy Unit High Dependency Unit Paediatrics Women’s Health Medical Orthopaedics Disablement Services Centre Physiotherapy Rehabilitation Outpatient Department Department Residential Care Elderly Mentally Impaired Nursing Home Outpatient Inpatient Newcastle General Hospital Freeman Hospital Royal Victoria Infirmary Accident and Emergency Referral Appointment Assessment 13 .Appendix 2 Physiotherapy Abbreviations (relevant to orthopaedics) General G. C/N SALT HH Medics CPN MDT HAV SS SW PTA TI COE ITU HDU Paeds WH Med Ortho DSC Physio Rehab OPD Dept Res Care EMI NH O/P I/P NGH FH RVI A+E Ref Appt.PT PT Pt N/S OT Sr.

Rx Tx ATSP A B/2A C D E F G D/W C O/C N I ZF WZF EC AUX/AC Mob. Exs Tol Exs Cont. S/N IV ECG AF HF CCF MI DVT PE CVA TIA LOC MS Treatment Transfer Asked To See Patient Physiotherapist 2 Physiotherapists Assistant 2 Assistants Combination of 2 or more members of staff Student Gym Discussed with With On-Call Normal Independent Zimmer Frame Wheeled Zimmer Frame Elbow Crutches Auxillary Crutches Mobility Exercise Tolerance Exercises Continued Suction Intravenous Electro Cardio Gram Atrial Fibrillation Heart Failure Congestive Cardiac Failure Myocardial Infarction Deep Vein Thrombosis Pulmonary Emboli Cerebral Vascular Accident Transient Ischaemic Attack Loss Of Consciousness Multiple Sclerosis Specific THR TKR TER TSR IMHS IM nail DHS Ex.fix ORIF Total hip replacement Total knee replacement Total elbow replacement Total shoulder replacement Intramedullary hip screw Intramedullary nail Dynamic hip screw External fixator Open reduction and internal fixation 14 .